If you have an AHCCCS Medical Assistance/MA (Medicaid) case, keep your information up to date so you can receive the latest information. Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. DES works with families, community organizations, advocates and state and federal partners to realize our collective vision that every child, adult, and family in Arizona will be safe and economically secure.DES serves more than 3 million Arizonans. AHCCCS offers health insurance for pregnant women who meet income and eligibility requirements. This website and its contents are for informational purposes only. Last Updated: February 24, 2021 at 3:23 am. If you are approved for emergency services only, you may receive medical services from any provider (doctor, hospital, etc.) Apply for Medical Assistance Benefits. Go to Find an Assistor, enter your ZIP Code to locate community assistors near you for help with the application process. Please do not turn in original documents. ]. The process can be completed through Health-e-Arizona Plus. Phone: 602-417-4000 In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Just as Valleywise Health provides premier, compassionate care to all those who need it, AHCCCS is there to ensure you have the coverage you need whether youre recently unemployed or simply unable to pay for private insurance. 2. https://www.azahcccs.gov/ All Rights Reserved. Subscribe to Newsletters We also use third-party cookies that help us analyze and understand how you use this website. 2197 0 obj <> endobj AHCCCS provides emergency health care services through the Federal Emergency Services Program (FESP) for qualified and nonqualified aliens, as specified in 8 USC 1611 et seq. BCBSAZ Health Choice Pathway is a subsidiary of Blue Cross Blue Shield of Arizona. The software has a versatile toolbar that will enable you to edit PDF documents. Nutrition Assistance (formerly the Food Stamp Program) is Arizonas program for the Food and Nutrition Service (FNS) Supplemental Nutrition Assistance Program (SNAP). View additional eligibility information. Some details must be faxed to complete your application. Retailers who are interested in online purchasing for SNAP EBT must meet USDA Food and Nutrition Service (FNS) requirements and obtain authorization to participate. . All legal service programs in Arizona differ, and their criteria for accepting cases vary as well. that has an agreement to bill AHCCCS for covered emergency services. Look for signs that the restaurant accepts EBT. If you do not like the one chosen for you. If there are non-U.S. citizens in your family, include Alien Registration Cards. You can also contact Community Assistors which help people complete and submit their Medical Assistance application. hbbd```b``>"gH u]&jN`k`z`v?dQY`9 F,2 DAd%d\"/La` 2QDO/a`bdPd`W; ; Yn@ Social Security numbers (if none, verification that a Social Security number has already been applied for). Children 6 to 18 with family income up to 133% of FPL. The Medicaid program in Arizona is called the Arizona Health Care Cost Containment System . Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. (For additional instructions, see the Frequently Asked Question (FAQ) in Health-e-Arizona Plus titled 'How do I fax documents to HEAplus'). Certain co-payments are even compulsory. Coverage for Medical Assistance in most cases begins the first day of the month that you are found eligible. You will find the fax cover sheets on the Providing Documents tab of the Health Arizona website . Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. Do you know how to access Arizonas Medicaid program? Health insurance through AHCCCS helps individuals cover the cost of doctors office visits, physical exams, immunizations, prenatal care, hospital care and prescriptions they need. All providers who serve Medicaid recipients are required to be screened and enrolled in the AHCCCS Provider Enrollment Portal (APEP). To serve you better and assure that you receive the benefits you qualify for, please: You can mail or fax copies of the requested information. AHCCCS works with doctors, hospitals, pharmacies, specialists and more to make sure that you are covered for all of the following medical services: AHCCCS covers several behavioral health services, including supervised and therapeutic day programs, crisis services, rehabilitation programs for living skills, educational support, supported employment, and cognitive rehabilitation, medication management training, case management, housing support, personal assistance and much more. Healthcare.gov is a good option if you don't think you will qualify for AHCCCS, because it will also check and see if you can get private coverage with subsidies. You can then complete the application and submit it by mail or fax. Individuals who have B - UFC/ACC have qualified for the Arizona Health Care Cost Containment System (AHCCCS). Do I need a different EBT card to use at a restaurant? However, if you do not have mandatory co-payments the provider may ask for the co-payment, but cannot deny service when you are unable to pay. A fixed amount ($20, for example) you pay for a covered health care service after you've paid your deductible. A decision will be made by one of the following dates: When a decision is made regarding your case, you will be mailed a letter with the results. Phone applications are available Monday through Friday from 8 a.m. to 4 p.m. Applicants are assigned a case manager to coordinate their care. The Affordable Care Act (ACA) requires states to utilize a single streamlined application approved by the Secretary of Health and Human Services. Enter your zip code to get started. KidsCare for uninsured children under the age of 19 who have income higher than the Medicaid limit. Immediate free, confidential help is available. Apply in person: Apply in person at your county of residence's local county office or at a local application assistance site. How to Apply for Food Stamps. To apply by mail or fax, either download the Elderly Simplified Application Project (ESAP) Nutrition Assistance Application (FAA-1821A) or request an application to be mailed to you by calling (855) 234-4960. Proof that your employment ended and last date paid. DES only determines eligibility for the following programs: Eligibility for the Medical Assistance program is based on the following requirements: The requirements differ for each program. We will keep all information you provide private, as required by law. You can then complete the application and submit it by mail or fax. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. Do restaurants charge sales tax for meals? Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. You are required to report any changes that may affect your Medical Assistance eligibility. When seeking medical services, you may have to make a co-payment. For AHCCCS Medical Assistance: If you do not give us your immigration status information, you may only be able to get emergency medical services. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. Give the manager or owner of the restaurant this flyer about the Restaurant Meals Program for merchants. Health Insurance for Children, Provider Enrollment Find answers to some of the most common questions about Medical Assistance. You can apply for medical coverage through AHCCCS, Nutrition Assistance (formerly know as the Food Stamp program), and Cash Assistance. It covers programs for acute and long term care, behavioral health and childrens care. There are no fees for applying for AHCCCS. Proof of mortgage or rent, as well as utility bills for the past months. Arizona seniors must be financially and medically eligible for long-term care Medicaid. It must be signed, dated and include that person's address and telephone number. They must have limited income, limited assets, and a medical need for care. You typically must work directly with the government to qualify for your program or benefits. Ready to apply? idcs-56b6e9015b5b403987f3105c0544879a.identity.oraclecloud.com 0 Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. In an emergency, you should get care from the closest hospital that can help you. For additional documents, brochures and pamphlets related to the Medical Assistance program, please visit our Document Center. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. We may call you or send you a letter if we need any other information or proof to decide your case. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. Applicants will receive a medical assistance letter that contains the official start date. While some co-payments are mandatory depending on service and location, in some instances the provider may ask for the co-payment, but cannot deny service if you are unable to pay. %PDF-1.6 % Careers The 'start date' will show on the Medical Assistance decision letter for each person who applied. Some program requirements may be difficult or dangerous for victims or survivors of domestic violence, sexual harassment, sexual assault, or stalking, and their families. The federal Public Health Emergency will be ending soon, and AHCCCS will be returning to regular renewals April 1, 2023. Children 1 to 5 years with family income up to 141% of FPL. This may also include the deli section of a participating grocery store. If you have questions about AHCCCS coverage at Valleywise Health, call 1 (833) VLLYWSE. 2226 0 obj <>/Filter/FlateDecode/ID[<7E13598C50AB214791283D6D87E75447>]/Index[2197 50]/Info 2196 0 R/Length 134/Prev 724933/Root 2198 0 R/Size 2247/Type/XRef/W[1 3 1]>>stream Please visit the, Resources for Foster/Kinship/Adoptive Families, Accessing Behavioral Health Services in Schools, AHCCCS Whole Person Care Initiative (WPCI), Emergency Triage, Treat and Transport (ET3), Report Concerns About Quality of Care Received, ALTCS Electronic Member Change Request (EMCR), Quality Assessment and Performance Improvement Strategy, Pre-Admission Screening and Resident Review (PASRR), Demographics, Social Determinants and Outcomes, Tribal Court Procedures for Involuntary Commitment, Contracted Health Plan Audited Financial Statements, Monkeypox Virus and Vaccination Information, Federal Funding Accountability and Transparency Act, Get Ready to Enroll: Prerequisite Steps for Providers, Provider Enrollment Application and Provider Participation Agreement, How to Become a Training and Testing Program, AIHP/FFS/TRBHA Prior Authorization Information, Claim Resubmission and Reconsideration Process. Proof of citizenship for everyone who is applying for benefits. Please note that you must let DES know if your earnings increase by. Need help with applying? For more information, see the flyer about the Restaurant Meals Program for merchants. AHCCCSOnline Website No, participating restaurants are listed on the webpage and updated quarterly. Phoenix, Arizona 85005-9009. You must also be under the income limit, which varies depending on age and size of household. Providers should review the application and follow the instructions for completing the application to enroll their existing AHCCCS provider ID. You can find a Community Assistor in your ZIP Code on the Get Help screen of Health-e-Arizona Plus. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. About 65% of Valleywise patients utilize the Arizona Health Care Cost Containment System (written AHCCCS and pronounced access). Proof of any medical insurance aside from AHCCCS. d|p3ft7k[L[31\~Z(C]x2pl For more information visit the National Plan and Provider Enumeration System (NPPES) webpage at https://nppes.cms.hhs.gov or contact the NPI Enumerator at 1-800-465-3203 or TTY 1-800-692-2326. Nutrition Assistance recipients will be able to make online purchases for grocery items with authorized SNAP retailers. Get started through Health-e-Arizona Plus. Also, your provider must approve visits to specialists such as surgeons. In an emergency, you should get care from the closest hospital that can help you. 1-800-786-4346. Apply by phone: Call 1-800-221-3943 / State Relay: 711. AHCCCS 801 E Jefferson St Phoenix, AZ 85034 Find Us On Google Maps. By helping families fight food insecurity and meet one of their . Medicare Savings Program: This is a program for individuals on low income that are eligible for Medicare. Proof of identity and citizenship for each one in your household who is applying for the programs under AHCCCS. how do i apply for emergency ahcccs. Learn about eligibility, needed information and the process to apply for benefits. (e.g., paper provider enrollment application, etc. There are three ways to apply for AHCCCS Medical Assistance including KidsCare II: Apply online by going to www.healthearizona.org and fill out all the needed information. AHCCCS insurance covers you and your family for doctor visits, vaccines, prescriptions, emergency care, hospitalizations and more. If eligibility cannot be determined, you will be sent a pre-populated renewal form with a Request for Information letter describing the information needed to complete the renewal. The Arizona Health Care Cost Containment System (AHCCCS) is Arizona's version of Medicaid and it provides health insurance to low income Arizonans through a health plan. Click the following to apply online for Nutrition, Cash or Medical Assistance: APPLY ONLINE. 1. hb```@RAb,'@B!U!su2&O1 nw8X9lMV?Id+MSY6 L.I5#o4)se3%}g But opting out of some of these cookies may affect your browsing experience. Social Security numbers for everyone, or proof that a Social Security number has been applied for. If your application is approved, you can choose which AHCCCS health plan you would like to cover your benefits. Through the Double Up Food Bucks Program, individuals receiving Nutrition Assistance can take home twice as many fruits and vegetables when they use their benefits at select farmers markets, CSAs, farm stands, and corner stores. }Q]G];/NOI%=MA|F3\% Apply Now! AHCCCS is Arizona's Medicaid program. The process for requesting a reasonable modification can be found at, Arizona Adult Protective Services Action Plan, World Elder Abuse Awareness Day Conference, Senior Community Service Employment Program, Workforce Innovation and Opportunity Act (WIOA), Equal Opportunity and Reasonable Modification. If the income of a child exceeds the limit and is too high for the AHCCCS insurance, the child may still be eligible for KidsCare II at a low premium per month. Need to apply for AHCCCS, KidsCare, Medicare Savings Program, SNAP, and TANF? Obtain a National Provider Identifier (NPI) Number The federal government requires that providers who administer medical and other health services should obtain a NPI number a unique 10-digit identification number for covered health care providers. Your primary doctor then becomes the first person you go to for care, as well as the one to authorize any non-emergency medical services and to refer you to a specialist when necessary. Proof of life insurance, retirement plans, securities, and savings bonds. When you apply for Medical Assistance online, you can either upload requested information or fax it. Fee-for-Service Fee Schedules, Contact Us Apply food stamp application form online on your state website. You can apply for yourself, your family, or someone close to you. BCBSAZ Health Choice Pathway (HMO D-SNP) is a Health Plan with a Medicare contract and a contract with the state Medicaid program. Mail or Fax an Application. About Mercy Care. Copyright BenefitsApplication.com 2016. To qualify, you must be an Arizona resident with U.S. citizenship or qualified immigration status. This video is available in American Sign Language. Once complete, the MOU and copies of the government photo ID must be sent to the Department of Economic SecurityFamily Assistance Administration by any of the following methods: Mail to:DBME Systems Administrator/EBT Project DirectorP.O.Box 6123, Mail Drop33I1Phoenix, Arizona 85005. This link will take you away from the Medicare section of healthchoicepathway.com, Click the link above to continue or CANCEL, Grievances, Organization Determinations and Appeals, Prior Authorization & Clinical Guidelines. You will receive a letter telling you who your . That hospital will treat you regardless of whether you have insurance. Arizonas food and nutrition support for families. who meet all requirements for Title XIX eligibility as specified in the State Plan except for citizenship. Insurers cant require you to get prior approval before getting emergency room services from a provider or hospital outside your plans network. Go to AHCCCS Available Health Plansto find information about health plans, to pre-enroll, or to change enrollment in your anniversary month. You can apply by calling 1-855-HEA-PLUS (1-855-432-7587) or fill out an application online. Some Assistors will be available to guide you through the entire process, and others will provide you with access to computers, scanners, telephones, copy machines and/or fax machines that you can use for free. If you have any questions, you may call 1-855-432-7587, Monday through Friday 7:00 a.m. - 6:00 p.m. Benefits begin based on the date the application was submitted. Call 1-800-377-3536 to get connected with a certified bilingual assister or make an appointment online. If this process seems daunting, Valleywise Health is here to help as Eligibility Specialists are available to field your questions (in English and Spanish), help you determine your eligibility and help you begin the process of applying and receiving coverage. The cost of long-term care in an approved Medicaid Facilities. Before choosing a health plan, check with your doctor, pharmacy or hospital to see if they work with the plan that you want. A single individual applying for Nursing Home Medicaid in 2023 in AZ must meet the following criteria: 1) Have income under $2,742 / month 2) Have assets under $2,000 3) Require the . Also, many SNAP Community Partners are also Community Assistors that can help you apply for Medical Assistance. Our Mission is to make Arizona stronger by helping Arizonans reach their full . It also offers special coverage for children and young adults under 21. Arizona's Medicaid Program will cover the following: Medical expenses including doctor visits and prescription medications. Mercy Care is a not-for-profit health plan offering integrated care to children, adults and seniors eligible for AHCCCS benefits. Nutrition Assistance provides eligible households with monthly benefits they can use to purchase nutritious food. All AHCCCS health plans provide the same covered medical services. Pay Your Premium AHCCCS is Arizona's Medicaid program that provides health insurance for people with limited income and resources. You may also report Medicaid fraud by calling (toll free) 1-800-533-0686. If you were charged sales tax in error, you should first attempt to resolve this with the restaurant. Beneficiaries of this program are provides with a debit card that can only be used at authorized grocery . To get started or to renew participation, download the formRestaurant Meals Program Memorandum of Understanding (MOU). Find out what kind of coverage youre eligible for and how to apply for AHCCCS. BenefitsApplication.com is not a government website or a government agency. Enrollment in BCBSAZ Health Choice Pathway (HMO D-SNP) depends on contract renewal. There are three ways to apply for AHCCCS Medical Assistance including KidsCare II: The following are some of the items you may need when applying or reapplying for AHCCCS Medical Assistance for you and your household (this does not apply to every applicant): After you have applied, you may check your application status online by going to the My Family Benefits Page. An application is not processed in a timely manner. This includes Nursing facilities and under the HCBS program assisted living facilities and . Provider Enrollment has established a fax and email address to specifically send paper-related documents. AHCCCS works by having you choose a health plan that covers your zip code . Arizona Health Care Cost Containment System (AHCCCS) is Arizona's Medicaid agency that offers health care programs to serve Arizona residents. endstream endobj startxref Stay up-to-date with news and updates delivered straight to your inbox, AZ Developmental Disabilities Planning Council. AHCCCS is Arizonas Medicaid program that provides health insurance for people with limited income and resources. This program is available to an NA household if every person in the household meets one or more of the following conditions: List of Restaurants Participating in the Meals Program. However, it may affect the benefit amount. Pursuant to Title VI of the Civil Rights Act of 1964, the Americans with Disabilities Act (ADA) and other nondiscrimination laws and authorities, ADES does not discriminate on the basis of race, color, national origin, sex, age, or disability. In-State Toll Free: 1-800-654-8713 (Outside Maricopa County) Again, if you need assistance determining your qualification status, consult Valleywise Health Eligibility Specialists by calling (602) 344-2550 or visiting www.valleywisehealth.org/patients. KidsCare: Arizonas Childrens Health Insurance Program (CHIP) for children under age 19 who are not eligible for AHCCCS insurance. Persons that require a reasonable modification based on language or disability should submit a request as early as possible to ensure the State has an opportunity to address the modification. Sources: Thank you for your interest in becoming a provider in the AHCCCS program. Once your application is submitted, your food stamp office will send you a notice regarding your eligibility. TANF: Temporary Assistance for Needy Families. You must also be under the income limit, which varies depending on your age and size of your household. Verification of all medical costs for the most recent months./li>. Insurance plans cant make you pay more in. You can also contact our Consolidated Customer Service Center at 1-800-283-4465. ), APEP Training (videos, documents, training sessions), Provider Enrollment Application & Provider Participation Agreement, Phone: 602-417-4000 https://www.azahcccs.gov/shared/Downloads/AHCCCSAtaGlanceApril2020.pdf. We can assist you. I'm having an emergency. Policy Manuals The information on this page will help you prepare and apply for benefits. Apply in Person at your county office or Fill out paper application form and mail to your county office. If you do not call us to choose your PCP, you will be assigned to the BCBSAZ Health Choice PCP who is closest to your home. AHCCCS, or the Arizona Health Care Cost Containment System (pronounced "access"), is the name for the Arizona Medicaid Program. Learn more about how AHCCCS is planning for the end of the Public Health Emergency. If there is enough information available to determine that you are still eligible, an approval letter is sent. Ready to apply? Apply for Medical Assistance Online. The same application can be used for all programs. Your email will automatically create a service ticket for Provider Enrollment to review and resolve. Member Services also has free language interpreter services available for non-English speakers. In addition to the services listed above, people who qualify for long term care can receive services such as: To determine eligibility, you need to fill out the online application on Health-e-Arizona PLUS (https://www.healthearizonaplus.gov/) or mail in a completed form to the Family Assistance Administration of Arizona. You will have 90 days to switch to another AHCCCS health plan. The process for requesting a reasonable modification can be found at Equal Opportunity and Reasonable Modification. Check if you qualify for a Special Enrollment Period. You will receive a letter indicating whether you have mandatory co-payments. Family Assistance Administration Instructions on how to do so are included in the application. Health Insurance for Children, Provider Enrollment Send questions regarding provider-related enrollment, policy, or APEP user issues to Provider Enrollment at APEPTrainingQuestions@azahcccs.gov. 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